Active NPI
Dezerae Christine Deis, D.C.
- Chiropractor
- Lincoln, NE
National Provider Identifier
1093163859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1891
- Practice address
- 4723 Meredeth St
Lincoln, NE 68506-5359 - Phone
- (712) 215-2190
- NPI assigned
- Jun 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1891 | NE | Primary |
Addresses
Primary practice location
4723 Meredeth St
Lincoln, NE 68506-5359
Mailing address
4723 Meredeth St
Lincoln, NE 68506-5359
Other names 1
- Dezerae Christine Dyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1891 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1093163859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4723 MEREDETH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4723 MEREDETH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065359",
"telephone_number": "712-215-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIS",
"first_name": "DEZERAE",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEZERAE",
"last_name": "DYER",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.